MARY CATHERINE DANIEL LMSW
NPI 1295968899
Social Worker in Port Huron, MI

NPI Status: Active since August 29, 2009

Contact Information

3111 ELECTRIC AVE
PORT HURON, MI
ZIP 48060
Phone: (810) 966-3596

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  • Individual
  • Female
  • Years of Experience 34
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARY DANIEL

This page provides the complete NPI Profile along with additional information for Mary Daniel, a provider established in Port Huron, Michigan with a medical specialization in Social Worker and more than 34 years of experience. She graduated from University Of Michigan Medical School in 1992. The healthcare provider is registered in the NPI registry with number 1295968899 assigned on August 2009. The practitioner's primary taxonomy code is 104100000X with license number 6801061582 (MI). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1295968899
Provider Name
MARY CATHERINE DANIEL LMSW
Gender
Female
Entity Type
Individual
Location Address
3111 ELECTRIC AVE PORT HURON, MI 48060
Location Phone
(810) 966-3596
Mailing Address
6694 CRIBBINS RD GRANT TOWNSHIP, MI 48032
Mailing Phone
(810) 324-2647
Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
08-29-2009
Last Update Date
08-29-2009
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A social worker like Mary Daniel helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
6801061582
License State
MI
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mary Daniel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mary Daniel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3072659390

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090930000082

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MARY CATHERINE DANIEL LMSW

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295968899, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 8 + 6 + 1 + 6 + 8 + 1 + 8 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1295968899.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Psychiatry & Neurology (Geriatric Psychiatry)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Counselor (Mental Health)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker
3111 ELECTRIC AVE
PORT HURON, MI 48060
Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
Adult Companion
3111 ELECTRIC AVE
PORT HURON, MI 48060
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker
3111 ELECTRIC AVE
PORT HURON, MI 48060
Counselor
3111 ELECTRIC AVE
PORT HURON, MI 48060
Counselor
3111 ELECTRIC AVE
PORT HURON, MI 48060
Counselor
3111 ELECTRIC AVE
PORT HURON, MI 48060
Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker
3111 ELECTRIC AVE
PORT HURON, MI 48060
Counselor
3111 ELECTRIC AVE
PORT HURON, MI 48060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295968899, enumerated as an "individual" on August 29, 2009.

The provider is located at 3111 ELECTRIC AVE PORT HURON, MI 48060 and the phone number is (810) 966-3596.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.